Facility Evaluation Report

Licensing Program Analysts (LPAs) Janira Arreola and Sara Martinez conducted an unannounced annual required visit on 3/20/2023 at 10:30 a.m. LPA was granted entry and met with Staff, Victoria Miranda who was informed of the purpose of the visit. At the time of the visit there was (1) staff and (2) clients present.

The facility is a one story home with (5) bedrooms and (5) bathrooms for clients. The clients served are adults between the ages of 18-59. LPA conducted a tour of the interior and exterior, reviewed facility documents and conducted staff and client interviews. LPA observed the following:

Infection Control: The LPA observed the hand washing stations in the facility restrooms had the hand washing signs with the steps on how to properly wash hands. LPA observed gloves and cleaning supplies to do regular cleaning of the facility. LPA reviewed the facility's infection control plan and found all required infection control measures.

Physical Plant: LPA observed the client bedrooms. Physical plant, floors, windows, and doors were observed to need more consistent cleaning as the LPAs observed that the C1's bedroom and bathroom were unkempt . Fixtures and furniture were present, drawers and cabinet doors were observed to be broken or in need of repair in the client restrooms and kitchen. This will be documented on a technical advisory note. The outdoor area was observed to be free of hazards. LPAs observed the facility outdoor furniture for clients to sit outdoors. Laundry room was observed to be in the garage and was observed to be in good working condition. The sharp and dangerous objects were observed to be locked and inaccessible to clients. The LPAs did observed razor blades in a clients private bathroom and laundry soap in the garage to be unlocked. The LPAs reviewed the IPP plans for the clients and found that the clients are "independent" and do their own laundry per staff.

Food Service: LPA observed facility kitchen had the ability to prepare food in clean environment and possessed equipment in good working condition. LPA observed the facility did not met the required 2-day supply of perishable and 7-day supply of non-perishable foods. Type B deficiency was documented along with a plan of correction for this.

Care & Supervision / Administration: Adequate staff are present for the supervision of clients. Emergency exiting plans, telephone numbers and personal rights were found posted in the facility. The facility fire department phone number was found to be out of order. The LPA documented technical advisory note for the staff to update this information on the posted emergency number list. The listed administrator, possesses a current administrator's certificate.